SAMANTRA M ALLEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157348

License Status

NOT RENEWED

Business

First Name

SAMANTRA

Middle

Last Name

ALLEN

Business Name

SAMANTRA M ALLEN

Original Issue Date

10/06/2004

Effective Date

10/06/2004

Expiration Date

03/31/2006

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

10/17/2005